The patient is a housewife, aged 34, is a native of Ohio, and is married, hut has no children. Seven years ago she came to my office for the first time, suffering from headache and pain in the left hip. She presented a sallow, anemic appearance, and was somewhat emaciated. I also noticed that the anterior and upper frontal regions were unduly prominent, but the skin showed no discoloration. Six months later she called again. Apparently an abscess had formed at the apex of the prominence to the left of the median line, where she complained of severe throbbing pain. The skin over the site of the abscess was a dark-red color, and at one point some signs of ulceration were already visible. I evacuated the abscess under anesthesia. A cheesy tuberculous deposit filled the cavity. At its base I noticed a roughened condition of the bone, and found that
COLE WU. CASE OF NECROSIS OF BONES OF THE SKULL.. JAMA. 1902;XXXVIII(4):249–250. doi:10.1001/jama.1902.62480040035002
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